Open Fractures and Incidence of Infection in Tertiary Care Government Hospital
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: Infection still represents one of the most common challenge in the treatment of open fractures. It is well known that most infections in open fractures are of nosocomial origin as causative microorganisms of infection are different to those found in initial smears. This study was aimed to highlight incidence of infection, its microbial trend during treatment. Materials and Methods: This retrospective observational study was conducted from January 2017 to April 2017 at Department of Orthopedics, B. J. Medical College and Sassoon General Hospital, Pune, Maharashtra. Records of total 60 patients with 64 open fractures treated under our hospital’s Orthopedic Department were analyzed. Results: Among the 60 patients with 64 open fractures, there were 15 (23.43%) cases of infection overall. Road traffic accident predominated 48 (75%) as mode of injury. There was change in wound flora over the period of hospital stay. Mean duration of final wound coverage was 5.66 days. Rate of infection increased with increase in trauma to final wound coverage interval. Conclusion: Most infections in open fractures are nosocomial in origin and the wound flora changes during the hospitalization period. Chances of infection of wound increases as there is increase in trauma to final wound coverage interval.
Authors and Affiliations
Amit R Kale, Chandrashekhar Sahebrao Sonawane, Vijay U Waghmare, Harshal Kalambe
Keywords
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